NPI Code Detail JSON Logo

1366431660 NPI number — MILAGROS RIVERA MD

NPI Number: 1366431660
Health Care Provider/Practitioner: MILAGROS RIVERA MD

Information about “1366431660” NPI (MILAGROS RIVERA MD) exists in 1366431660 in HTML format HTML  |  1366431660 in plain Text format TXT  |  1366431660 in PDF (Portable Document Format) PDF  |  1366431660 in an XML format XML  formats.

NPI Number : 1366431660 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366431660",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RIVERA",
    "FirstName": "MILAGROS",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "602 E 72ND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAVANNAH",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31405-4913",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "912-819-7878",
    "MailingAddressFaxNumber": "912-819-7850",
    "FirstLinePracticeLocationAddress": "102 BRYAN WOODS ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAVANNAH",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31410",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "912-898-1122",
    "PracticeLocationAddressFaxNumber": "912-898-9944",
    "EnumerationDate": "10/19/2005",
    "LastUpdateDate": "11/28/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "33755",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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